Provider Demographics
NPI:1376972356
Name:DISCOUNT COUNSELING NETWORK, INC.
Entity Type:Organization
Organization Name:DISCOUNT COUNSELING NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:DUENAS
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:352-745-2910
Mailing Address - Street 1:4424 NW 13TH ST
Mailing Address - Street 2:SUITE C-11
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-1883
Mailing Address - Country:US
Mailing Address - Phone:352-332-9960
Mailing Address - Fax:888-316-5373
Practice Address - Street 1:1107 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-4373
Practice Address - Country:US
Practice Address - Phone:352-332-9960
Practice Address - Fax:888-316-5373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-11
Last Update Date:2013-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0801AD651601251S00000X
FL0312AD651603251S00000X
FL0804AD651602251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1255568945Medicaid
FL1396028379Medicaid